{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":320845926,"provider_groups":[{"npi":[1053303826],"tin":{"type":"ein","value":"510480367"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30520","description":"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1568.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17000","description":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":473.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES10-50SQ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17107","description":"DSTR CUT VSC PRLF LES10-50SQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":885.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28285","description":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1072.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28292","description":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1428.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29893","description":"ENDOSCOPIC PLANTR FASCIOTOMY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1223.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28090","description":"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":939.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES>50SQCM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17108","description":"DSTR CUT VSC PRLF LES>50SQCM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1252.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1072.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES<10SQCM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17106","description":"DSTR CUT VSC PRLF LES<10SQCM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":739.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":963.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Excision, interdigital (Morton) neuroma, single, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28080","description":"Excision, interdigital (Morton) neuroma, single, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":939.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69660","description":"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2353.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31255","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1421.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31254","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1516.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28296","description":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1428.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17004","description":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":547.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2446.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69631","description":"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2090.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31254","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1516.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2446.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28296","description":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1428.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28292","description":"Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1428.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69660","description":"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2353.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31255","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1421.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28090","description":"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":939.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17004","description":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":547.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Excision, interdigital (Morton) neuroma, single, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28080","description":"Excision, interdigital (Morton) neuroma, single, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":939.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28308","description":"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1072.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES>50SQCM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17108","description":"DSTR CUT VSC PRLF LES>50SQCM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1252.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69631","description":"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2090.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29893","description":"ENDOSCOPIC PLANTR FASCIOTOMY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1223.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy, calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28118","description":"Ostectomy, calcaneus;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":963.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28285","description":"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1072.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES<10SQCM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17106","description":"DSTR CUT VSC PRLF LES<10SQCM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":739.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17000","description":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":473.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30520","description":"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1568.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]},
{"negotiation_arrangement":"ffs","name":"DSTR CUT VSC PRLF LES10-50SQ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17107","description":"DSTR CUT VSC PRLF LES10-50SQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":885.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[320845926]}]}]}