{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":1268577474,"provider_groups":[{"npi":[1730180084],"tin":{"type":"ein","value":"113064342"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67101","description":"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66821","description":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66825","description":"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68720","description":"Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67039","description":"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67105","description":"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67040","description":"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1025.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy ab externo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65850","description":"Trabeculotomy ab externo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"Exchange of intraocular lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66986","description":"Exchange of intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1025.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]},
{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1025.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1268577474]}]}]}
