{"reporting_entity_name": "Emblemhealth_IDP_OFF","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":223539105,"provider_groups":[{"npi":[1497244149],"tin":{"type":"ein","value":"814351390"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT 1 CERV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63020","description":"LAMOT DCMPRN NRV RT 1 CERV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAM FACETEC & FORAMOT THRC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63046","description":"LAM FACETEC & FORAMOT THRC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27446","description":"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28618.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAM FACETEC &FORAMOT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63048","description":"LAM FACETEC &FORAMOT EA ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63035","description":"LAMOT DCMPRN NRV RT EA ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45843.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC LUM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22558","description":"ARTHRD ANT NTRBD MIN DSC LUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"OSTEOT DSC ANT 1VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22224","description":"OSTEOT DSC ANT 1VRT SGM LMBR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBDY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22551","description":"ARTHRD ANT NTRBDY CERVICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30994.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22214","description":"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30562.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, ankle; with implant (total ankle)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27702","description":"Arthroplasty, ankle; with implant (total ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42927.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD PST TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22612","description":"ARTHRD PST TQ 1NTRSPC LUMBAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48504.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42927.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63075","description":"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT 1 LMBR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63030","description":"LAMOT DCMPRN NRV RT 1 LMBR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27447","description":"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42450.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAM FACETEC & FORAMOT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63047","description":"LAM FACETEC & FORAMOT LUMBAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD CMBN 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22633","description":"ARTHRD CMBN 1NTRSPC LUMBAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24363","description":"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47116.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"LAM FACETEC & FORAMOT CRV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63045","description":"LAM FACETEC & FORAMOT CRV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11631.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD PST TQ 1NTRSPC LUM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22630","description":"ARTHRD PST TQ 1NTRSPC LUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRD LAT XTRCVTRY TQ LMBR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22533","description":"ARTHRD LAT XTRCVTRY TQ LMBR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47920.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[223539105]}]}]}
