{"hospital_name": "Pender Memorial Hospital, Incorporated", "last_updated_on": "2026-03-30", "version": "3.0.0", "pid": "3076210903", "rid": "8945", "location_name": ["Novant Health Pender Medical Center"], "hospital_address": ["507 E Fremont St, Burgaw, NC 28425"], "type_2_npi": ["1295703130"], "license_information": {"license_number": "H0115", "state": "NC"}, "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": "Ruth Glaser"}, "standard_charge_information": [{"description": "\"\"Y SET\"\" TUBING", "code_information": [{"code": "A4719", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "& CHLAMYDIA AG DFA", "code_information": [{"code": "87270", "type": "CPT"}, {"code": "PEMC - 106001 - 306000089", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"minimum": 40.78, "maximum": 154.23, "gross_charge": 159.0, "discounted_cash": 71.55, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 127.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 122.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 135.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 44.01, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 127.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 135.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 127.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 60.1, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 45.55, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 111.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 111.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 111.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 98.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 111.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 114.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 58.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 58.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 58.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 42.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 58.67, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 63.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 44.66, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 62.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 70.11, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 44.21, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 154.23, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 136.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 42.93, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 47.89, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 40.78, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 60.97, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 119.72, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 133.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 44.66, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 85.86, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 43.78, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 42.93, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 95.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 154.23, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 116.07, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 45.55, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "1 ADMN RSV MONOC ANTB IM NJX", "code_information": [{"code": "96381", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 BOD TEMP >=35.5", "code_information": [{"code": "G9773", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 BODYTEMP >=35.5CW/IN 30MIN", "code_information": [{"code": "4559F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 CC STERILE SYRINGE&NEEDLE", "code_information": [{"code": "A4206", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 EM CORE SESSION", "code_information": [{"code": "G9873", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 MED VISIT IN 24MO", "code_information": [{"code": "G9247", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1 OR NO CT SINUS W/IN 90D DX", "code_information": [{"code": "G9354", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1,25-DIHYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82652", "type": "CPT"}, {"code": "PEMC - 106001 - 301000193", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 109.78, "maximum": 415.16, "gross_charge": 428.0, "discounted_cash": 192.6, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 342.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 329.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 363.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 118.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 342.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 363.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 342.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 161.78, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 122.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 299.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 299.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 299.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 265.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 299.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 308.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 157.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 157.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 157.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 115.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 157.93, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 171.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 120.22, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 167.77, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 188.74, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 119.02, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 415.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 368.08, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 115.56, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 128.91, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 109.78, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 164.13, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 322.28, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 359.09, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 120.22, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 231.12, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 117.87, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 115.56, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 256.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 415.16, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 312.44, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 122.62, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "100 INSULIN SYRINGES", "code_information": [{"code": "S8490", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "11-DEHYDRO THROMBOXANE B2", "code_information": [{"code": "83520", "type": "CPT"}, {"code": "PEMC - 106001 - 301000279", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 206.73, "maximum": 781.82, "gross_charge": 806.0, "discounted_cash": 362.7, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 644.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 620.62, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 685.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 223.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 644.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 685.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 644.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 304.66, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 230.91, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 564.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 564.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 564.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 499.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 564.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 580.32, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 297.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 297.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 297.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 217.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 297.41, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 226.4, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 315.95, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 355.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 224.14, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 781.82, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 693.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 217.62, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 242.76, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 206.73, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 309.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 606.91, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 676.23, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 226.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 435.24, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 221.97, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 217.62, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 483.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 781.82, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 588.38, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 230.91, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "11-DEOXYCORTISOL", "code_information": [{"code": "82634", "type": "CPT"}, {"code": "PEMC - 106001 - 301000189", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 99.0, "maximum": 374.42, "gross_charge": 386.0, "discounted_cash": 173.7, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 308.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 297.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 328.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 106.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 308.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 328.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 308.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 145.9, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 110.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 270.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 270.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 270.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 239.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 270.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 277.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 142.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 142.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 142.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 104.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 142.43, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 154.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 108.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 151.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 170.22, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 107.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 374.42, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 331.96, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 104.22, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 116.26, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 99.0, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 148.03, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 290.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 323.85, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 108.42, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 208.44, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 106.3, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 104.22, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 231.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 374.42, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 281.78, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 110.58, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "11-DESOXYCORTICOSTERONE", "code_information": [{"code": "82633", "type": "CPT"}, {"code": "PEMC - 106001 - 301000590", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 104.9, "maximum": 396.73, "gross_charge": 409.0, "discounted_cash": 184.05, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 327.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 314.93, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 347.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 113.21, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 327.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 347.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 327.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 154.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 117.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 286.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 286.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 286.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 253.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 286.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 294.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 150.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 150.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 150.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 110.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 150.92, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 163.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 114.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 160.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 180.36, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 113.74, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 396.73, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 351.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 110.43, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 123.19, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 104.9, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 156.85, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 307.97, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 343.15, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 114.88, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 220.86, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 112.63, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 110.43, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 245.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 396.73, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 298.57, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 117.17, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "12-LEAD ECG PERFORMED", "code_information": [{"code": "3120F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "17 HYDROXYPROGESTERONE URINE", "code_information": [{"code": "83498", "type": "CPT"}, {"code": "PEMC - 106001 - 301000155", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 77.46, "maximum": 292.94, "gross_charge": 302.0, "discounted_cash": 135.9, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 241.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 232.54, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 256.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 83.59, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 241.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 256.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 241.6, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 114.15, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 86.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 211.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 211.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 211.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 187.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 211.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 217.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 111.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 111.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 111.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 81.54, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 111.43, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 120.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 84.83, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 118.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 133.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 83.98, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 292.94, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 259.72, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 81.54, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 90.96, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 77.46, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 115.81, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 227.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 253.37, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 84.83, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 163.08, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 83.17, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 81.54, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 181.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 292.94, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 220.46, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 86.52, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "17-HYDROPREGNENOLONE", "code_information": [{"code": "84143", "type": "CPT"}, {"code": "PEMC - 106001 - 301000594", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 64.89, "maximum": 245.41, "gross_charge": 253.0, "discounted_cash": 113.85, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 202.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 194.81, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 215.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 70.03, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 202.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 215.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 202.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 95.63, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 72.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 156.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 156.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 182.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 156.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 156.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 177.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 156.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 177.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 182.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 182.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 177.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", 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Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 408.78, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 208.47, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 204.39, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 454.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 734.29, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 552.61, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 216.88, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "1DOSE MENIG VAC BTWN 11 & 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"standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST HOSP IP/OBS HIGH 75", "code_information": [{"code": "99223", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST HOSP IP/OBS MODERATE 55", "code_information": [{"code": "99222", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST HOSP IP/OBS SF/LOW 40", "code_information": [{"code": "99221", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST NF CARE HIGH MDM 50", "code_information": [{"code": "99306", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST NF CARE MODERATE MDM 35", "code_information": [{"code": "99305", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST NF CARE SF/LOW MDM 25", "code_information": [{"code": "99304", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST PLMT DRUG ELUT OC INS", "code_information": [{"code": "444T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST PSYC COLLAB CARE MGMT", "code_information": [{"code": "99492", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST/SBSQ PSYC COLLAB CARE", "code_information": [{"code": "99494", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 CC STERILE SYRINGE&NEEDLE", "code_information": [{"code": "A4207", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM CORE MS MO 10-12 NO WL", "code_information": [{"code": "G9877", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM CORE MS MO 10-12 WL", "code_information": [{"code": "G9879", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM CORE MS MO 7-9 NO WL", "code_information": [{"code": "G9876", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM CORE MS MO 7-9 WL", "code_information": [{"code": "G9878", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM ONGOING MS MO 13-15 WL", "code_information": [{"code": "G9882", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM ONGOING MS MO 16-18 WL", "code_information": [{"code": "G9883", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM ONGOING MS MO 19-21 WL", "code_information": [{"code": "G9884", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2 EM ONGOING MS MO 22-24 WL", "code_information": [{"code": "G9885", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2+ ANTI-HYPRTNSV AGENTS TKN", "code_information": [{"code": "4145F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2+ ANTIPSY SCHIZ", "code_information": [{"code": "G0032", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2+ BENZO SEIZ", "code_information": [{"code": "G0033", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "20+ CC SYRINGE ONLY", "code_information": [{"code": "A4213", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "25-HYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82306", "type": "CPT"}, {"code": "PEMC - 106001 - 301000117", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 84.38, "maximum": 319.13, "gross_charge": 329.0, "discounted_cash": 148.05, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 253.33, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 279.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 91.06, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 279.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 124.36, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 94.25, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 230.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 230.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 230.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 203.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 230.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 236.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 121.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 121.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 121.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 88.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 121.4, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 131.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 92.41, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 128.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 91.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 319.13, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 282.94, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 88.83, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 99.09, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 84.38, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 126.17, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 247.73, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 276.03, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 92.41, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 177.66, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 90.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 88.83, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 197.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 319.13, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 240.17, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 94.25, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "2D CEPHAL RADIO IMAGE", "code_information": [{"code": "D0702", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D CEPHALOMETRIC IMAGE", "code_information": [{"code": "D0340", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D ORAL/FACIAL PHOTO IMAGE", "code_information": [{"code": "D0703", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D TEE W OR W/O FOL W/CON,IN", "code_information": [{"code": "C8925", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D TTE W OR W/O FOL W/CON,CO", "code_information": [{"code": "C8923", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D TTE W OR W/O FOL W/CON,FU", "code_information": [{"code": "C8924", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2VHPV VACCINE 3 DOSE IM", "code_information": [{"code": "90650", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3 CC STERILE SYRINGE&NEEDLE", "code_information": [{"code": "A4208", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3 COMP FOOT EXAM COMPLETED", "code_information": [{"code": "G9226", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D DENTAL SCAN DIRECT", "code_information": [{"code": "D0801", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D DENTAL SCAN INDIRECT", "code_information": [{"code": "D0802", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D ECHO IMG CGEN CAR ANOMAL", "code_information": [{"code": "93319", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D FACIAL SCAN DIRECT", "code_information": [{"code": "D0803", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D FACIAL SCAN INDIRECT", "code_information": [{"code": "D0804", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D PRINT OF 3D SURFACE SCAN", "code_information": [{"code": "D0396", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D RECON NON IND WKST", "code_information": [{"code": "76376", "type": "CPT"}, {"code": "PEMC - 106001 - 320000356", "type": "CDM"}, {"code": "350", "type": "RC"}], "standard_charges": [{"minimum": 63.17, "maximum": 440.38, "gross_charge": 454.0, "discounted_cash": 204.3, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 363.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 349.58, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 385.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 125.66, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 363.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 385.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 363.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 171.61, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 130.07, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 71.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 71.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 71.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 63.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 71.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 73.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 167.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 167.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 167.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 122.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 167.52, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 181.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 127.52, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 177.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 200.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 126.25, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 440.38, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 390.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 122.58, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 136.74, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 116.45, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 174.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 341.86, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 380.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 127.52, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 245.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 125.03, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 122.58, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 272.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 440.38, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 331.42, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 130.07, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "3D RECON W IND WKST", "code_information": [{"code": "76377", "type": "CPT"}, {"code": "PEMC - 109001 - 320000357", "type": "CDM"}, {"code": "350", "type": "RC"}], "standard_charges": [{"minimum": 83.15, "maximum": 1121.32, "gross_charge": 1156.0, "discounted_cash": 520.2, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 924.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 890.12, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 982.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 319.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 924.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 982.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 924.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 436.96, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 331.19, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 93.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 93.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 93.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 83.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 93.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 96.57, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 426.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 426.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 426.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 312.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 426.56, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 462.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 453.15, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 509.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 321.48, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1121.32, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 994.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 312.12, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 348.18, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 296.51, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 443.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 870.46, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 969.88, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 624.24, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 318.36, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 312.12, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 693.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1121.32, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 843.88, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 331.19, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "3D VOL IMG&RCNSTJ BRST/AX", "code_information": [{"code": "694T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation", "code_information": [{"code": "944T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy", "code_information": [{"code": "G0566", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D-CRT/IMRT RECEIVED", "code_information": [{"code": "4165F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy", "code_information": [{"code": "C8001", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "4 EM CORE SESSIONS", "code_information": [{"code": "G9874", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "40-75Y W/TYPE 1/2 W/LDL-C RS", "code_information": [{"code": "G9676", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "4VHPV VACCINE 3 DOSE IM", "code_information": [{"code": "90649", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE AND 0.45% SALINE", "code_information": [{"code": "S5010", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE IN LAC RINGERS", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7121", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE WITH POTASSIUM", "code_information": [{"code": "S5012", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE/NORMAL SALINE", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7042", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE/WATER", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7060", "type": "HCPCS"}], "standard_charges": [{"estimated_discounted_cash": 66.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5% WL MAINTND FROM BSLINE WT", "code_information": [{"code": "G9888", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5%DEXTROSE/0.45%SALINE1000ML", "code_information": [{"code": "S5013", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5' NUCLEOTIDASE", "code_information": [{"code": "83915", "type": "CPT"}, {"code": "PEMC - 106001 - 301000327", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 28.47, "maximum": 107.67, "gross_charge": 111.0, "discounted_cash": 49.95, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 85.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 94.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 30.72, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 94.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 41.95, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 31.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 77.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 77.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 77.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 68.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 77.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 40.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 40.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 40.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 40.95, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 44.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 31.17, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 43.51, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 48.95, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 30.86, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 107.67, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 95.46, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 33.43, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 28.47, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 42.56, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 83.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 93.12, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 31.17, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 59.94, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 30.56, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 66.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 107.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 81.03, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 31.8, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "5+ CC STERILE SYRINGE&NEEDLE", "code_information": [{"code": "A4209", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5-OH INDOLEACETIC ACID UR24HR", "code_information": [{"code": "83497", "type": "CPT"}, {"code": "PEMC - 106001 - 301000262", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 43.6, "maximum": 164.9, "gross_charge": 170.0, "discounted_cash": 76.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 130.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 47.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 64.26, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 68.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 66.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.97, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 47.27, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 146.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 51.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 43.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.19, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 128.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 142.63, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 91.8, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 46.81, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 102.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 124.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "7 FLD RTA PHOTO EVC RTNOPTHY", "code_information": [{"code": "2024F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "7 FLD RTA PHOTO W/O RTNOPTHY", "code_information": [{"code": "2025F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "9 EM CORE SESSIONS", "code_information": [{"code": "G9875", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "9VHPV VACCINE 2/3 DOSE IM", "code_information": [{"code": "90651", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "<50% TOTAL PT OUTPT RA ENCTS", "code_information": [{"code": "M1008", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "<6YR NEW ONSET HD ACHE", "code_information": [{"code": "G2193", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">55 YRS TEMP HD ACHE", "code_information": [{"code": "G2192", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">= 2 SAME HI-RSK MED NOT ORD", "code_information": [{"code": "G9368", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">= 2 SAME HI-RSK MED ORD", "code_information": [{"code": "G9367", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">=2 SAME HI-RSK MED W/O DIAG", "code_information": [{"code": "M1209", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">=2 SAME MEDS TBL4 NOT ORD", "code_information": [{"code": "M1210", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">=50% TOTAL PT OUTPT RA ENCT", "code_information": [{"code": "M1007", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": ">=86Y NO HX COLO CA/RSN SCOP", "code_information": [{"code": "G9659", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified", "code_information": [{"code": "M1379", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "A PHAGOCYTOPHILUM PCR", "code_information": [{"code": "87798", "type": "CPT"}, {"code": "PEMC - 106001 - 306000220", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 297.54, "maximum": 1125.2, "gross_charge": 1160.0, "discounted_cash": 522.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 893.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 986.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 321.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 986.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 438.48, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 332.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 812.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 812.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 812.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 719.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 812.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 835.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 428.04, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 428.04, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 428.04, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 313.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 428.04, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 464.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 325.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 454.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 511.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 322.59, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1125.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 997.6, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 313.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 349.39, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 297.54, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 444.86, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 873.48, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 973.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 325.84, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 319.46, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 313.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1125.2, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 846.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 332.34, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "A/D HALFWAY HOUSE, PER DIEM", "code_information": [{"code": "H2034", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "A/D TX PROGRAM, PER DIEM", "code_information": [{"code": "H2036", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "A/D TX PROGRAM, PER HOUR", "code_information": [{"code": "H2035", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AAC NON-ELECTRONIC BOARD", "code_information": [{"code": "E1902", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABATACEPT INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0129", "type": "HCPCS"}], "standard_charges": [{"minimum": 78.08, "maximum": 78.08, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 78.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 78.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 78.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 78.08, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABCIXIMAB INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0130", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABD IMAG W/US, CT OR MRI", "code_information": [{"code": "G9455", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABD PARACENTESIS", "code_information": [{"code": "49082", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABD PARACENTESIS W/IMAGING", "code_information": [{"code": "49083", "type": "CPT"}], "standard_charges": [{"minimum": 256.39, "maximum": 297.74, "estimated_discounted_cash": 3012.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 289.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 289.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 289.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 256.39, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 289.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 297.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_percentage": 27.0, "possible_amount": 1683.07, "count": "1 through 10", "median_amount": 1683.07, "methodology": "percent of total billed charges", "10th_percentile": 1683.07, "90th_percentile": 1683.07}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABDOMEN ACUTE SERIES", "code_information": [{"code": "74022", "type": "CPT"}, {"code": "PEMC - 109001 - 320000167", "type": "CDM"}, {"code": "320", "type": "RC"}], "standard_charges": [{"minimum": 40.79, "maximum": 318.16, "gross_charge": 328.0, "discounted_cash": 147.6, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 262.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 252.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 278.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 90.79, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 262.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 278.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 262.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 123.98, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 93.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 46.05, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 46.05, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 46.05, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 40.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 46.05, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 47.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 121.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 121.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 121.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 88.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 121.03, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 131.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 92.13, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 128.57, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 144.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 91.21, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 318.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 282.08, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 88.56, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 98.79, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 84.13, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 125.78, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 246.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 275.19, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 92.13, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 177.12, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 90.33, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 88.56, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 196.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 318.16, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 239.44, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 93.97, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "93650", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLAVAR 244MG / ML 10ML", "code_information": [{"code": "PEMC - 106001 - 343000007", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 456.0, "discounted_cash": 205.2, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "ABLTJ B9 THYR NDUL PERQ LASR", "code_information": [{"code": "673T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL BRST TUM PERQ CRTX", "code_information": [{"code": "581T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 MAG FLD NDCT", "code_information": [{"code": "739T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ PERC LXTR/PERPH NRV", "code_information": [{"code": "441T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ PERC PLEX/TRNCL NRV", "code_information": [{"code": "442T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ PERC UXTR/PERPH NRV", "code_information": [{"code": "440T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO RH BLOOD TYPING DOCD", "code_information": [{"code": "3293F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABOBOTULINUMTOXINA", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0586", "type": "HCPCS"}], "standard_charges": [{"minimum": 16.28, "maximum": 16.28, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 16.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 16.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 16.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 16.28, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 11250.29, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 7814.06, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 11029.7, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 7660.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 11250.29, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7660.84, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 7814.06, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY", "code_information": [{"code": "770", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 9439.39, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 5846.25, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 9254.3, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 5731.62, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 9439.39, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 5731.62, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 5846.25, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ABOVE KNEE SURGICAL STOCKING", "code_information": [{"code": "A4490", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABSORP DRG <= 16 SUC PUMP", "code_information": [{"code": "K0744", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABSORP DRG >16<=48 SUC PUMP", "code_information": [{"code": "K0745", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABSORP DRG >48 SUC PUMP", "code_information": [{"code": "K0746", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABSORPT DRG > 48 SQ IN W/BDR", "code_information": [{"code": "A6256", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUT CROWN PORC TO TITANIUM", "code_information": [{"code": "D6097", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUT RETAIN PORC TO TITANIUM", "code_information": [{"code": "D6195", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUT SUPPORT CROWN TITANIUM", "code_information": [{"code": "D6094", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUT SUPPORT RETAINER TITANI", "code_information": [{"code": "D6194", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED CROWN", "code_information": [{"code": "D6058", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6059", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6060", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6061", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6062", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6063", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED MTL CROWN", "code_information": [{"code": "D6064", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6068", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6069", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6070", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6071", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6072", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6073", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABUTMENT SUPPORTED RETAINER", "code_information": [{"code": "D6074", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABX PRES W/IN 10 DYS OF SYMP", "code_information": [{"code": "G9505", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABX REG PRESCRIBED", "code_information": [{"code": "G9498", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AC5 WOUND SYSTEM", "code_information": [{"code": "A2020", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACAPatch, per square centimeter", "code_information": [{"code": "Q4325", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS OF TRANSEP CYTOL SAMP", "code_information": [{"code": "D0486", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS/RETORQ IMPLANT SCREW", "code_information": [{"code": "D6089", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCOMMODATING LENS ANESTH", "code_information": [{"code": "PEMC - 48001 - 370000158", "type": "CDM"}, {"code": "370", "type": "RC"}], "standard_charges": [{"gross_charge": 1559.0, "discounted_cash": 701.55, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "ACE ARB ARNI", "code_information": [{"code": "G2092", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE-I/ARB RX", "code_information": [{"code": "M1200", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE/ARB NOT RX'D; DOC REAS", "code_information": [{"code": "G8474", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE/ARB THERAPY RXD/TAKEN", "code_information": [{"code": "4010F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE/ARB THXPY FOR MOS/>", "code_information": [{"code": "4210F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE/ARB THXPY NOT RX'D", "code_information": [{"code": "G8475", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACE/ARB THXPY RX'D", "code_information": [{"code": "G8473", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACESSO DL, PER SQ CM", "code_information": [{"code": "Q4293", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACESSO TL, PER SQ CM", "code_information": [{"code": "Q4300", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY", "code_information": [{"code": "80299", "type": "CPT"}, {"code": "PEMC - 106001 - 301000703", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 154.92, "maximum": 585.88, "gross_charge": 604.0, "discounted_cash": 271.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 483.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 465.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 513.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 167.18, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 483.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 513.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 483.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 228.31, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 173.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 422.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 422.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 422.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 374.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 422.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 434.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 222.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 222.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 222.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 163.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 222.87, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 241.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 169.66, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 236.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 266.36, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 167.97, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 585.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 519.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 163.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 181.92, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 154.92, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 231.63, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 454.81, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 506.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 169.66, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 326.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 166.34, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 163.08, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 362.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 585.88, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 440.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 173.04, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LVL BLD SCREEN", "code_information": [{"code": "80307", "type": "CPT"}, {"code": "PEMC - 106001 - 301000494", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 229.31, "maximum": 867.18, "gross_charge": 894.0, "discounted_cash": 402.3, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 715.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 688.38, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 759.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 247.45, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 715.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 759.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 715.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 337.93, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 256.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 625.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 625.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 625.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 554.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 625.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 643.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 329.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 329.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 329.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 329.88, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 357.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 251.12, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 350.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 394.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 248.62, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 867.18, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 768.84, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 269.27, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 229.31, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 342.84, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 673.18, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 750.06, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 251.12, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 482.76, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 246.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 536.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 867.18, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 652.62, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 256.13, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETATE CONC SOL PER GALLON", "code_information": [{"code": "A4708", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETAZOLAMID SODIUM INJECTIO", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J1120", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETONE/ OTHER KETONES QUAL", "code_information": [{"code": "82009", "type": "CPT"}, {"code": "PEMC - 106001 - 301000061", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 15.39, "maximum": 58.2, "gross_charge": 60.0, "discounted_cash": 27.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 48.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 46.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 51.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 16.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 48.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 51.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 48.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 22.68, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 17.19, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 42.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 42.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 42.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 42.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 43.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 22.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 22.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 22.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 16.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 22.14, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 24.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 16.85, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 23.52, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 26.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 16.68, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 58.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 51.6, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 16.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 18.07, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 15.39, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 23.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 45.18, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 50.34, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 16.85, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 32.4, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 16.52, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 16.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 36.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 58.2, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 43.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 17.19, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYCHOLINESTERASE", "code_information": [{"code": "82013", "type": "CPT"}, {"code": "PEMC - 106001 - 301000063", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 56.94, "maximum": 215.34, "gross_charge": 222.0, "discounted_cash": 99.9, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 177.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 170.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 188.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 61.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 177.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 188.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 177.6, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 83.91, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 63.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 155.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 155.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 155.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 137.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 155.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 159.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 81.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 81.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 81.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 59.94, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 81.91, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 62.35, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 87.02, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 97.9, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 61.73, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 215.34, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 190.92, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 59.94, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 66.86, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 56.94, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 85.13, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 167.16, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 186.25, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 62.35, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 119.88, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 61.13, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 59.94, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 215.34, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 162.06, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 63.6, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLINE RECEPT BIND AB", "code_information": [{"code": "83519", "type": "CPT"}, {"code": "PEMC - 106001 - 301000275", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 77.46, "maximum": 292.94, "gross_charge": 302.0, "discounted_cash": 135.9, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 241.6, "methodology": "fee 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"Commercial", "standard_charge_dollar": 177.39, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 69.61, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR BNDNG ANTB", "code_information": [{"code": "86041", "type": "CPT"}, {"code": "PEMC - 106001 - 302000324", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 62.32, "maximum": 235.71, "gross_charge": 243.0, "discounted_cash": 109.35, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 194.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 187.11, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 206.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 67.26, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 194.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 206.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 194.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 91.85, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 69.61, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 150.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 174.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 89.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 89.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 89.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 65.61, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 89.66, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 97.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 68.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 95.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 107.16, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 67.57, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 235.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 208.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 65.61, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 73.19, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 62.32, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 93.19, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 182.97, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 203.87, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 68.25, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 131.22, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 66.92, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 65.61, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 145.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 235.71, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 177.39, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 69.61, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "PEMC - 106001 - 302000326", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 63.61, "maximum": 240.56, "gross_charge": 248.0, "discounted_cash": 111.6, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 198.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 190.96, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 210.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 68.64, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 198.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 210.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 198.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 93.74, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 71.05, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 173.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 173.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 173.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 153.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 173.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 178.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 91.51, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 91.51, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 91.51, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 66.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 91.51, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 99.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 69.66, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 97.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 109.36, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 68.96, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 240.56, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 213.28, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 66.96, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 74.69, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 63.61, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 95.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 186.74, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 208.07, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 69.66, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 133.92, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 68.29, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 66.96, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 148.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 240.56, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 71.05, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLCYSTEINE COMP UNIT", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7604", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCYSTEINE INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0132", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCYSTEINE NON-COMP UNIT", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7608", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLMORPHINE URINE", "code_information": [{"code": "80307", "type": "CPT"}, {"code": "PEMC - 106001 - 301000712", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 257.52, "maximum": 973.88, "gross_charge": 1004.0, "discounted_cash": 451.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 803.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 773.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 853.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 277.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 803.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 853.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 803.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 379.51, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 287.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 702.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 702.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 702.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 622.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 702.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 722.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 370.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 370.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 370.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 271.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 370.47, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 401.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 282.02, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 393.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 442.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 279.21, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 973.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 863.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 271.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 302.4, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 257.52, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 385.03, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 756.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 842.35, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 282.02, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 542.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 276.5, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 271.08, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 602.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 973.88, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 732.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 287.64, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACH RECEPTOR (MUSCLE) MODULATING", "code_information": [{"code": "83519", "type": "CPT"}, {"code": "PEMC - 106001 - 301000648", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 235.46, "maximum": 890.46, "gross_charge": 918.0, "discounted_cash": 413.1, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 734.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 706.86, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 780.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 254.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 734.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 780.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 734.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 347.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 263.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 642.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 642.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 642.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 569.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 642.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 660.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 338.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 338.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 338.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 247.86, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 338.74, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 367.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 257.86, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 359.85, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 404.83, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 255.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 890.46, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 789.48, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 247.86, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 276.5, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 235.46, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 352.05, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 691.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 770.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 257.86, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 495.72, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 252.81, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 247.86, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 550.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 890.46, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 670.14, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 263.0, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACID CONC SOL PER GALLON", "code_information": [{"code": "A4709", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACID PERFUSION OF ESOPHAGUS", "code_information": [{"code": "91030", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE PROSTATIC", "code_information": [{"code": "84066", "type": "CPT"}, {"code": "PEMC - 106001 - 301000339", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 34.88, "maximum": 131.92, "gross_charge": 136.0, "discounted_cash": 61.2, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 108.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 104.72, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 115.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 37.64, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 108.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 115.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 108.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 51.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 38.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 95.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 95.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 95.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 84.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 95.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 97.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 50.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 50.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 50.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 36.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 50.18, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 54.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 38.2, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 53.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 59.97, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 37.82, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 131.92, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 116.96, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 36.72, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 40.96, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 34.88, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 52.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 102.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 114.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 38.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 73.44, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 37.45, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 36.72, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 81.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 131.92, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 99.28, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 38.96, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE TOTAL", "code_information": [{"code": "84060", "type": "CPT"}, {"code": "PEMC - 106001 - 301000338", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 74.89, "maximum": 283.24, "gross_charge": 292.0, "discounted_cash": 131.4, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 233.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 224.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 248.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 80.82, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 233.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 248.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 233.6, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 110.37, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 83.65, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 204.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 204.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 204.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 181.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 204.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 210.24, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 107.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 107.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 107.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 78.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 107.74, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 116.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 82.02, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 114.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 128.77, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 81.2, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 283.24, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 251.12, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 78.84, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 87.95, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 74.89, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 111.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 219.87, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 244.98, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 82.02, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 157.68, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 80.41, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 78.84, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 175.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 283.24, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 213.16, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 83.65, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACOUSTIC IMMITANCE TESTING", "code_information": [{"code": "92570", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACOUSTIC REFL THRESHOLD TST", "code_information": [{"code": "92568", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACP DISCUSS-NO DSCNMKR DOCD", "code_information": [{"code": "1124F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACP DISCUSS/DSCN MKR DOCD", "code_information": [{"code": "1123F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACROMIOCLAVICULAR JOINTS BIL", "code_information": [{"code": "73050", "type": "CPT"}, {"code": "PEMC - 106001 - 320000092", "type": "CDM"}, {"code": "320", "type": "RC"}], "standard_charges": [{"minimum": 31.98, "maximum": 412.25, "gross_charge": 425.0, "discounted_cash": 191.25, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 340.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 327.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 361.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 117.64, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 340.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 361.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 340.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 160.65, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 121.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 36.11, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 36.11, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 36.11, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 31.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 36.11, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 156.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 156.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 156.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 114.75, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 156.82, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 170.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 119.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 166.6, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 187.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 118.19, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 412.25, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 365.5, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 114.75, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 128.01, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 109.01, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 162.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 320.02, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 356.57, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 119.38, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 229.5, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 117.04, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 114.75, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 255.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 412.25, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 310.25, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 121.76, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIGRAPHY TESTING", "code_information": [{"code": "95803", "type": "CPT"}], "standard_charges": [{"minimum": 102.98, "maximum": 119.59, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 116.27, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 116.27, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 116.27, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 102.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 116.27, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 119.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIN ANTIBODY EACH", "code_information": [{"code": "86015", "type": "CPT"}, {"code": "PEMC - 106001 - 302000285", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 1.02, "maximum": 3.88, "gross_charge": 4.0, "discounted_cash": 1.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 3.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 3.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 3.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 3.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 3.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 3.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 1.51, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 1.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 2.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 2.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 2.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 2.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 2.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 1.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 1.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 1.47, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 1.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 1.12, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 1.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 1.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1.11, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 3.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 3.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 1.02, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1.53, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 3.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 3.35, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 1.12, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 2.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 1.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1.08, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 2.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 3.88, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 2.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 1.14, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTIN SMOOTH MUSCLE AB", "code_information": [{"code": "83516", "type": "CPT"}, {"code": "PEMC - 106001 - 301000267", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 54.12, "maximum": 204.67, "gross_charge": 211.0, "discounted_cash": 94.95, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 162.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 179.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 58.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 179.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 79.75, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 60.45, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 147.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 147.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 147.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 130.82, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 147.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 151.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 77.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 77.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 77.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 56.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 77.85, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 59.26, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 82.71, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 93.05, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 58.67, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 204.67, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 181.46, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 56.97, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 63.55, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 54.12, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 80.91, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 158.88, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 177.02, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 59.26, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 113.94, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 58.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 56.97, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 126.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 204.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 154.03, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 60.45, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTINOMYCES ANTIBODY", "code_information": [{"code": "86602", "type": "CPT"}, {"code": "PEMC - 106001 - 302000094", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 32.31, "maximum": 122.22, "gross_charge": 126.0, "discounted_cash": 56.7, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 100.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 97.02, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 107.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 34.87, "methodology": "fee 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{"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 78.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 78.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 88.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 78.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 88.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 90.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 90.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 88.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 78.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 88.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 90.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 90.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 90.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 46.49, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 46.49, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 46.49, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 34.02, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 46.49, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 50.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 35.39, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 49.39, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 55.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 35.04, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 122.22, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 108.36, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 34.02, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 37.95, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 32.31, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 48.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 94.87, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 105.71, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 35.39, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 68.04, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 34.7, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 34.02, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 75.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 122.22, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 91.98, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 36.09, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTIVATE MATRIX, PER SQ CM", "code_information": [{"code": "Q4301", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIVATED CARBON FILTER, EA", "code_information": [{"code": "A4680", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIVATED CLOTTING TIME", "code_information": [{"code": "85347", "type": "CPT"}, {"code": "PEMC - 106001 - 305000086", "type": "CDM"}, {"code": "305", "type": "RC"}], "standard_charges": [{"minimum": 14.36, "maximum": 54.32, "gross_charge": 56.0, "discounted_cash": 25.2, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 44.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 43.12, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 47.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 15.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 44.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 47.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 44.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 21.16, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 16.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 39.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 39.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 39.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 34.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 39.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 40.32, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 20.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 20.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 20.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 15.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 20.66, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 22.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 15.73, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 21.95, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 24.69, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 15.57, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 54.32, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 48.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 15.12, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 16.86, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 14.36, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 21.47, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 42.16, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 46.98, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15.73, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 15.42, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 15.12, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 54.32, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 40.88, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16.04, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTIVITY THERAPY, PER 15 MIN", "code_information": [{"code": "H2032", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUPUNCT W/O STIMUL 15 MIN", "code_information": [{"code": "97810", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUPUNCT W/O STIMUL ADDL 15M", "code_information": [{"code": "97811", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUPUNCT W/STIMUL 15 MIN", "code_information": [{"code": "97813", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUPUNCT W/STIMUL ADDL 15M", "code_information": [{"code": "97814", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 10773.44, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 31.03, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 10562.2, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.42, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 10773.44, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.42, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 31.03, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION", "code_information": [{"code": "880", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 21614.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 21614.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 18775.9, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 21190.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 19151.42, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 21190.18, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 21614.0, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 38640.19, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 38640.19, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 29768.2, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 37882.52, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 30363.56, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 37882.52, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 38640.19, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 15266.42, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 15266.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 10226.7, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 14967.07, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 10431.23, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 14967.07, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 15266.42, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE CHRONIC OBSTRUCT", "code_information": [{"code": "G9681", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE CONGESTIVE HEART", "code_information": [{"code": "G9680", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE PNEUMONIA", "code_information": [{"code": "G9679", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE SKIN INFECTION", "code_information": [{"code": "G9682", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE URINARY TRACT INF", "code_information": [{"code": "G9684", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE FLUID/ELECTRO DISORDER", "code_information": [{"code": "G9683", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}], "standard_charges": [{"minimum": 277.23, "maximum": 321.95, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 313.01, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 313.01, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 313.01, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 277.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 313.01, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 321.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE HEPATITIS PANEL", "code_information": [{"code": "80074", "type": "CPT"}, {"code": "PEMC - 106001 - 301000008", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 161.08, "maximum": 609.16, "gross_charge": 628.0, "discounted_cash": 282.6, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 502.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 483.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 533.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 173.83, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 502.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 533.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 502.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 237.38, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 179.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 439.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 439.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 439.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 389.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 439.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 452.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 231.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 231.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 231.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 169.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 231.73, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 251.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 176.4, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 246.17, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 276.94, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 174.64, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 609.16, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 540.08, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 169.56, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 189.15, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 161.08, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 240.83, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 472.88, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 526.89, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 176.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 339.12, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 172.95, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 169.56, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 376.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 609.16, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 458.44, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 179.92, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 37764.99, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 37764.99, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 22943.8, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 37024.48, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 23402.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 37024.48, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 37764.99, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 101308.22, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 101308.22, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 60388.9, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 99321.74, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 61596.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 99321.74, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 101308.22, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 97159.59, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 62912.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 95254.5, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 61678.99, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 97159.59, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 61678.99, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 62912.6, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 20022.88, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 20022.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 13414.5, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 19630.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13682.79, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 19630.27, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 20022.88, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 13052.23, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8559.01, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 12796.3, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 8391.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13052.23, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 8391.19, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8559.01, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 8816.68, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 5398.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 8643.8, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 5292.49, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 8816.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 5292.49, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 5398.35, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 10312.3, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 10229.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 10110.1, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 10029.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 10312.3, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 10029.19, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 10229.77, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 17998.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 15813.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 17645.1, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 15503.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 17998.0, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15503.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 15813.66, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 8620.86, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8620.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 7954.1, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 8451.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 8113.18, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 8451.82, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8620.86, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 9468.89, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 9468.89, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 7614.2, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 9283.22, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 7766.48, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 9283.22, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 9468.89, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 22224.58, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 21920.41, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 21788.8, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 21490.59, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 22224.58, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 21490.59, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 21920.41, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 9468.89, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 9468.89, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 6587.9, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 9283.22, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 6719.66, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 9283.22, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 9468.89, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ACUTE NURSING FACILITY CARE", "code_information": [{"code": "G9685", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE PVD", "code_information": [{"code": "M1337", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}], "standard_charges": [{"minimum": 285.32, "maximum": 331.34, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 322.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 322.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 322.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 285.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 322.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 331.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VITREOUS HEMORRHAGE", "code_information": [{"code": "M1333", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYCLOVIR INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0133", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINE", "code_information": [{"code": "82017", "type": "CPT"}, {"code": "PEMC - 106001 - 301000064", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 57.45, "maximum": 217.28, "gross_charge": 224.0, "discounted_cash": 100.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 179.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 172.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 190.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 62.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 179.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 190.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 179.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 84.67, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 64.17, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 156.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 156.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 156.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 138.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 156.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 161.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 82.65, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 82.65, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 82.65, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 60.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 82.65, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 89.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 62.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 87.8, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 98.78, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 62.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 217.28, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 192.64, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 60.48, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 67.46, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 57.45, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 85.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 168.67, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 187.93, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 62.92, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 120.96, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 61.68, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 60.48, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 134.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 217.28, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 163.52, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 64.17, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADAMTS13 AB", "code_information": [{"code": "83520", "type": "CPT"}, {"code": "PEMC - 106001 - 301000641", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 185.19, "maximum": 700.34, "gross_charge": 722.0, "discounted_cash": 324.9, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 577.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 555.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 613.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 199.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 577.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 613.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 577.6, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 272.91, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 206.85, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 505.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 505.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 505.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 447.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 505.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 519.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 266.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 266.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 266.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 194.94, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 266.41, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 288.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 202.8, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 283.02, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 318.4, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 200.78, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 700.34, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 620.92, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 194.94, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 217.46, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 185.19, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 276.88, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 543.66, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 605.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 202.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 389.88, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 198.83, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 194.94, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 433.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 700.34, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 527.06, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 206.85, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADAMTS13 FUNC ACTIVITY", "code_information": [{"code": "85397", "type": "CPT"}, {"code": "PEMC - 106001 - 305000093", "type": "CDM"}, {"code": "305", "type": "RC"}], "standard_charges": [{"minimum": 87.97, "maximum": 332.71, "gross_charge": 343.0, "discounted_cash": 154.35, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 274.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 264.11, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 291.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 94.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 274.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 291.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 274.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 129.65, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 98.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 240.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 240.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 240.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 212.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 240.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 246.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 126.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 126.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 126.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 92.61, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 126.56, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 137.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 96.34, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 134.45, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 151.26, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 95.38, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 332.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 294.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 92.61, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 103.31, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 87.97, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.54, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 258.27, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 287.77, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 96.34, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 185.22, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 94.46, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 92.61, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 205.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 332.71, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 250.39, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 98.26, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADAPT BEHAVIOR TX PHYS/QHP", "code_information": [{"code": "97155", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADAPT BHV TX EA 15 MIN", "code_information": [{"code": "373T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADAPT/EXT, PACING/NEURO LEAD", "code_information": [{"code": "C1883", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADAPTIVE BEHAVIOR TX BY TECH", "code_information": [{"code": "97153", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD 30 MINS COUNSEL", "code_information": [{"code": "G2080", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD CLASP TO PARTIAL DENTURE", "code_information": [{"code": "D5660", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD LE LIMITED ANKLE MOTION", "code_information": [{"code": "L2200", "type": "HCPCS"}, {"code": "PEMC - 106001 - 427000001", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 27.95, "maximum": 105.73, "gross_charge": 109.0, "discounted_cash": 49.05, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 87.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 83.93, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 92.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 30.17, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 87.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 92.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 87.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 41.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 31.22, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 76.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 76.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 76.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 67.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 76.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 78.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 40.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 40.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 40.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 29.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 40.22, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 43.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 30.61, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 42.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 48.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 30.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 105.73, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 93.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 29.43, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 32.83, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 27.95, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 41.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 82.07, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 91.45, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 30.61, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 58.86, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 30.01, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 29.43, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 65.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 105.73, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 79.57, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 31.22, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD LE SPLT FLAT CALIPER STIRP", "code_information": [{"code": "L2230", "type": "HCPCS"}, {"code": "PEMC - 106001 - 427000002", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 52.32, "maximum": 197.88, "gross_charge": 204.0, "discounted_cash": 91.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 163.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 157.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 173.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 56.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 163.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 173.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 163.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 77.11, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 58.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 142.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 142.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 142.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 126.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 142.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 146.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 75.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 75.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 75.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 55.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 75.27, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 81.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 57.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 79.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 89.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 56.73, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 197.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 175.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 55.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 61.44, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 52.32, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 78.23, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 153.61, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 171.15, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 57.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 110.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 56.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 55.08, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 197.88, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 148.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 58.44, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD METAL SUB TO ACRYLC DENT", "code_information": [{"code": "D5876", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD PROC CONSTRUCT NEW CROWN", "code_information": [{"code": "D2971", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD TO LE PELVIC CONTROL", "code_information": [{"code": "L2624", "type": "HCPCS"}, {"code": "PEMC - 106001 - 427000003", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 282.15, "maximum": 1067.0, "gross_charge": 1100.0, "discounted_cash": 495.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 880.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 847.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 935.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 304.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 880.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 935.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 880.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 415.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 315.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 770.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 770.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 770.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 682.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 770.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 297.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 440.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 308.99, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 431.2, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 485.1, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 305.91, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1067.0, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 946.0, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 297.0, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 331.32, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 282.15, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 421.85, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 828.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 922.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 308.99, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 594.0, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 302.94, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 297.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 660.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1067.0, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 803.0, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 315.15, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD TO LE THIGH/WB LACER PT", "code_information": [{"code": "L2540", "type": "HCPCS"}, {"code": "PEMC - 106001 - 427000004", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 218.79, "maximum": 827.41, "gross_charge": 853.0, "discounted_cash": 383.85, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 682.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 656.81, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 725.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 236.11, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 682.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 725.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 682.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 322.43, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 244.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 597.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 597.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 597.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 528.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 597.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 614.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 314.75, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 314.75, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 314.75, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 230.31, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 314.75, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 341.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 239.6, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 334.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 376.17, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 237.21, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 827.41, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 733.58, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 230.31, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 256.92, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 218.79, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 327.12, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 642.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 715.66, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 239.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 460.62, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 234.91, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 230.31, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 511.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 827.41, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 622.69, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 244.38, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD TO SPINAL ORTHOSIS NOS", "code_information": [{"code": "L0999", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD TOOTH TO PARTIAL DENTURE", "code_information": [{"code": "D5650", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITIVE FOR ENTERAL FORMULA", "code_information": [{"code": "B4104", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDL SUPL MATRL&STAF TM PHE", "code_information": [{"code": "99072", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDUCTOR CANAL NERVE BLOCK", "code_information": [{"code": "64447", "type": "CPT"}, {"code": "PEMC - 106001 - 370000231", "type": "CDM"}, {"code": "370", "type": "RC"}], "standard_charges": [{"minimum": 272.4, "maximum": 1030.14, "gross_charge": 1062.0, "discounted_cash": 477.9, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 849.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 817.74, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 902.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 293.96, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 849.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 902.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 849.6, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 401.43, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 304.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 743.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 743.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 743.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 658.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 743.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 764.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 391.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 391.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 391.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 286.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 391.87, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 424.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 298.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 416.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 468.34, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 295.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1030.14, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 913.32, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 286.74, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 319.87, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 272.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 407.27, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 799.68, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 891.01, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 298.31, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 573.48, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 292.47, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 286.74, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 637.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1030.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 775.26, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 304.26, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADDUCTOR CANAL NERVE BLOCK CONT", "code_information": [{"code": "64448", "type": "CPT"}, {"code": "PEMC - 106001 - 370000232", "type": "CDM"}, {"code": "370", "type": "RC"}], "standard_charges": [{"minimum": 454.0, "maximum": 1716.9, "gross_charge": 1770.0, "discounted_cash": 796.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 1416.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1362.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 1504.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 489.93, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 1416.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 1504.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 1416.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 669.06, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 507.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 1239.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 1239.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 1239.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 1097.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 1239.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 1274.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 653.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 653.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 653.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 477.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 653.13, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 708.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 497.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 693.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 780.57, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 492.23, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1716.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 1522.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 477.9, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 533.12, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 454.0, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 678.79, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 1332.81, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1485.03, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 497.19, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 955.8, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 487.45, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 477.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 1062.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1716.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 1292.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 507.1, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOCORTICOTROPIC HORMONE", "code_information": [{"code": "82024", "type": "CPT"}, {"code": "PEMC - 106001 - 301000065", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 110.29, "maximum": 417.1, "gross_charge": 430.0, "discounted_cash": 193.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 344.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 331.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 365.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 119.02, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 344.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 365.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 344.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 162.54, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 123.19, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 301.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 301.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 301.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 266.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 301.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 309.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 158.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 158.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 158.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 116.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 158.67, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 172.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 120.78, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 168.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 189.63, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 119.58, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 417.1, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 369.8, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 116.1, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 129.51, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 110.29, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 323.79, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 360.77, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 120.78, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 232.2, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 116.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 258.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 417.1, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 313.9, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 123.19, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOMA DETECTED SCREENING", "code_information": [{"code": "3775F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOMA NOT DETECT SCREENING", "code_information": [{"code": "3776F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOSINE DEAMINASE PLEURAL FLUID", "code_information": [{"code": "84311", "type": "CPT"}, {"code": "PEMC - 106001 - 301000755", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 164.92, "maximum": 623.71, "gross_charge": 643.0, "discounted_cash": 289.35, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 514.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 495.11, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 546.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 177.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 514.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 546.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 514.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 243.05, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 184.21, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 450.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 450.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 450.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 398.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 450.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 462.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 237.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 237.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 237.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 173.61, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 237.26, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 257.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 180.61, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 252.05, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 283.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 178.81, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 623.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 552.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 173.61, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 193.67, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 164.92, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 246.59, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 484.17, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 539.47, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 180.61, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 347.22, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 177.08, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 173.61, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 385.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 623.71, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 469.39, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 184.21, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOSINE INJ 1MG", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0153", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AB QUANT", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "PEMC - 106001 - 302000205", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 36.93, "maximum": 139.68, "gross_charge": 144.0, "discounted_cash": 64.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 115.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 110.88, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 115.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 115.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 54.43, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 41.25, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 100.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 100.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 100.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 89.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 100.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 103.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 53.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 53.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 53.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 38.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 53.13, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 57.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 40.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 56.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 63.5, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 40.04, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 139.68, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 123.84, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.88, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 43.37, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 36.93, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 55.22, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 108.43, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 120.81, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 40.44, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.76, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 39.65, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.88, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 86.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 139.68, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 105.12, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 41.25, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG DFA", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "PEMC - 106001 - 306000087", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"minimum": 50.78, "maximum": 192.06, "gross_charge": 198.0, "discounted_cash": 89.1, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 158.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 152.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 168.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 54.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 158.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 168.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 158.4, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 74.84, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 56.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 138.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 138.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 138.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 122.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 138.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 142.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 73.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 73.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 73.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 53.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 73.06, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 79.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 55.61, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 77.61, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 87.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 55.06, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 192.06, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 170.28, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 53.46, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 59.63, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 50.78, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 75.93, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 149.09, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 166.12, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 55.61, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 106.92, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 54.52, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 53.46, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 118.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 192.06, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 144.54, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 56.72, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AMP PRB PCR", "code_information": [{"code": "87798", "type": "CPT"}, {"code": "PEMC - 106001 - 306000259", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 177.24, "maximum": 670.27, "gross_charge": 691.0, "discounted_cash": 310.95, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 552.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 532.07, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 587.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 191.26, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 552.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 587.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 552.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 261.19, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 197.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 483.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 483.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 483.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 428.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 483.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 497.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 254.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 254.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 254.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 186.57, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 254.97, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 276.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 194.1, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 270.87, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 304.73, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 192.16, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 670.27, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 594.26, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 186.57, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 208.12, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 177.24, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 264.99, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 520.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 579.74, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 194.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 373.14, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 190.3, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 186.57, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 414.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 670.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 504.43, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 197.97, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ANTIBODY IGG", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "PEMC - 106001 - 302000095", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 43.6, "maximum": 164.9, "gross_charge": 170.0, "discounted_cash": 76.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 130.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 47.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 64.26, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 68.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 66.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.97, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 47.27, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 146.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 51.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 43.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.19, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 128.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 142.63, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 91.8, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 46.81, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 102.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 124.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ANTIBODY IGM", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "PEMC - 106001 - 302000096", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 43.6, "maximum": 164.9, "gross_charge": 170.0, "discounted_cash": 76.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 130.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 47.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 144.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 136.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 64.26, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 105.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 119.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 62.73, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 68.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 66.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.97, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 47.27, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 146.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 51.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 43.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.19, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 128.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 142.63, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 47.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 91.8, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 46.81, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 102.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 164.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 124.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 48.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS QPCR (BAL)", "code_information": [{"code": "87799", "type": "CPT"}, {"code": "PEMC - 106001 - 306000285", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 451.44, "maximum": 1707.2, "gross_charge": 1760.0, "discounted_cash": 792.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 1408.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1355.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 1496.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 487.16, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 1408.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 1496.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 1408.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 665.28, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 504.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 1232.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 1232.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 1232.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 1091.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 1232.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 1267.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 649.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 649.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 649.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 475.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 649.44, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 704.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 494.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 689.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 776.16, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 489.45, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1707.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 1513.6, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 475.2, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 530.11, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 451.44, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 674.96, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 1325.28, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1476.64, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 494.38, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 950.4, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 484.7, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 475.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 1056.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1707.2, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 1284.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 504.24, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS QUANT PCR", "code_information": [{"code": "87799", "type": "CPT"}, {"code": "PEMC - 106001 - 306000260", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 223.15, "maximum": 843.9, "gross_charge": 870.0, "discounted_cash": 391.5, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 669.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 739.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 240.81, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 739.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 328.86, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 249.25, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 609.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 609.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 609.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 539.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 609.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 321.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 321.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 321.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 234.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 321.03, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 348.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 244.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 341.04, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 383.67, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 241.94, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 843.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 748.2, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 234.9, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 262.04, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 223.15, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 333.64, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 655.11, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 729.93, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 244.38, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 469.8, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 239.59, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 234.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 522.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 843.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 635.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 249.25, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS VACCINE TYPE 4", "code_information": [{"code": "90476", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS VACCINE TYPE 7", "code_information": [{"code": "90477", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHERE TX ASSESS AT LST ANN", "code_information": [{"code": "G8851", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESION BARRIER", "code_information": [{"code": "C1765", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIVE BANDAGE, FIRST-AID", "code_information": [{"code": "A6413", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADIT MDD DYS REM 12 MNTHS", "code_information": [{"code": "G9509", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJUNCTIVE PROCEDURE", "code_information": [{"code": "D9999", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJUST MAX PROST APPLIANCE", "code_information": [{"code": "D5992", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJUST SLEEP APNEA APPLIANCE", "code_information": [{"code": "D9948", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJUSTABLE CHAIR FOR ESRD PT", "code_information": [{"code": "E1570", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJUSTMENT GASTRIC BAND", "code_information": [{"code": "S2083", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJV HRMNL THXPY RXD", "code_information": [{"code": "4164F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJV THXPYRXD/RCVD COLON CA", "code_information": [{"code": "4180F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJV TRTMT CHEMO HER2", "code_information": [{"code": "G2206", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADL PT MJ DEP DS NO RS 12 MO", "code_information": [{"code": "M1020", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADL PT MJ DEP DS RS 12 PHQ<5", "code_information": [{"code": "M1019", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADLT DISP UND/PULL ON ABV XL", "code_information": [{"code": "T4544", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM IV CHEMO 1ST HOME VISIT", "code_information": [{"code": "G0090", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM IV DRUG 1ST HOME VISIT", "code_information": [{"code": "G0088", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM IV INFUSION DRUG IN HOME", "code_information": [{"code": "G0068", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM OF CHEMO DRUG IN HOME", "code_information": [{"code": "G0070", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM OF SOC DTR ASSESS 5-15 M", "code_information": [{"code": "G0136", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM SQ INFUSION DRUG IN HOME", "code_information": [{"code": "G0069", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM SUBQ DRUG 1ST HOME VISIT", "code_information": [{"code": "G0089", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM TOCILIZU COVID-19 1ST", "code_information": [{"code": "M0249", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADM TOCILIZU COVID-19 2ND", "code_information": [{"code": "M0250", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN ECG CONTRAST AGENT", "code_information": [{"code": "93352", "type": "CPT"}], "standard_charges": [{"minimum": 31.4, "maximum": 36.47, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 31.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 36.47, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN HEPATITIS B VACCINE", "code_information": [{"code": "G0010", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN HOME SLEEP APNEA TEST", "code_information": [{"code": "D9956", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN INFLUENZA VIRUS VAC", "code_information": [{"code": "G0008", "type": "HCPCS"}], "standard_charges": [{"estimated_discounted_cash": 95.0, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_percentage": 27.0, "possible_amount": 28.12, "count": "1 through 10", "median_amount": 28.12, "methodology": "percent of total billed charges", "10th_percentile": 28.12, "90th_percentile": 28.12}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN PNEUMOCOCCAL VACCINE", "code_information": [{"code": "G0009", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMISSION TO MCCM", "code_information": [{"code": "G9480", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIT W/IN 180D REQ REMOV", "code_information": [{"code": "G9410", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIT W/IN 180D REQ SURG REV", "code_information": [{"code": "G9412", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMN RSV MONOC ANTB IM CNSL", "code_information": [{"code": "96380", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADOPTIVE IMMUNOTHERAPY", "code_information": [{"code": "S2107", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADR DEP THRPY PRESCRIBED", "code_information": [{"code": "G9894", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRC THER PRTL RC TEAR", "code_information": [{"code": "717T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRC THER PRTL RC TEAR NJX", "code_information": [{"code": "718T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 24592.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 16812.55, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 24109.8, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 16482.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 24592.0, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 16482.88, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16812.55, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC", "code_information": [{"code": "614", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 16011.37, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 16011.37, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 15392.3, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 15697.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 15700.15, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15697.42, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16011.37, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}], "standard_charges": [{"minimum": 341.02, "maximum": 396.03, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 385.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 385.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 385.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 341.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 385.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 396.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL TISSUE TRANSPLANT", "code_information": [{"code": "S2103", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADT 180 DYS PHARMTHRY OUD", "code_information": [{"code": "M1034", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADT NO 180 DYS PHARMTHRY OUD", "code_information": [{"code": "M1036", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADT PD OUT MAT PR 180 DYS TX", "code_information": [{"code": "M1035", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADT TKNG PHARMTHRY FOR OUD", "code_information": [{"code": "M1032", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT COMPANIONCARE PER 15M", "code_information": [{"code": "S5135", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT COMPANIONCARE PER DIEM", "code_information": [{"code": "S5136", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT DAY CARE PER DIEM", "code_information": [{"code": "S5102", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT DAY CARE PER HALF DAY", "code_information": [{"code": "S5101", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT DAYCARE SERVICES 15MIN", "code_information": [{"code": "S5100", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT DISP BRIEF/DIAP ABV XL", "code_information": [{"code": "T4543", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT FOSTER CARE PER DIEM", "code_information": [{"code": "S5140", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT FOSTER CARE PER MONTH", "code_information": [{"code": "S5141", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE BRIEF/DIAPER LG", "code_information": [{"code": "T4523", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE BRIEF/DIAPER MED", "code_information": [{"code": "T4522", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE BRIEF/DIAPER SM", "code_information": [{"code": "T4521", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE BRIEF/DIAPER XL", "code_information": [{"code": "T4524", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE PULL-ON LG", "code_information": [{"code": "T4527", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE PULL-ON MED", "code_information": [{"code": "T4526", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE PULL-ON SM", "code_information": [{"code": "T4525", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SIZE PULL-ON XL", "code_information": [{"code": "T4528", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 50.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADULT SPEECH AID", "code_information": [{"code": "D5953", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADV CARE HEART DX MVP", "code_information": [{"code": "G0055", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADV DEM CRGVR LIMITED", "code_information": [{"code": "G9917", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADV RHEUM PT CARE MVP", "code_information": [{"code": "G0053", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVANCED LIFE SUPPORT MILEAG", "code_information": [{"code": "A0390", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVANCING CANCER CARE MVP", "code_information": [{"code": "M0001", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVNC CARE PLAN IN RCRD", "code_information": [{"code": "1157F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVNC CARE PLAN TLK DOCD", "code_information": [{"code": "1158F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVNCD CARE PLAN 30 MIN", "code_information": [{"code": "99497", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADVNCD CARE PLAN ADDL 30 MIN", "code_information": [{"code": "99498", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEP HEARING STATUS DETER I&R", "code_information": [{"code": "92651", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEP SCR AUDITORY POTENTIAL", "code_information": [{"code": "92650", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEROSOL SELF TRTMT EVAL/DEMO", "code_information": [{"code": "94664", "type": "CPT"}, {"code": "PEMC - 48001 - 410000012", "type": "CDM"}, {"code": "410", "type": "RC"}], "standard_charges": [{"minimum": 12.77, "maximum": 228.92, "gross_charge": 236.0, "discounted_cash": 106.2, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 181.72, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 200.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 65.32, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 200.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 89.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 67.61, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 14.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 14.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 14.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 12.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 14.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 14.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 87.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 87.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 87.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 63.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 87.08, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 94.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 66.29, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 92.51, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 104.07, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 65.63, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 228.92, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 202.96, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 63.72, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 71.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 60.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 90.5, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 177.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 198.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 66.29, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 64.99, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 63.72, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 228.92, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 172.28, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 67.61, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFAMELANOTIDE IMPLANT, 1 MG", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7352", "type": "HCPCS"}], "standard_charges": [{"minimum": 5954.59, "maximum": 5954.59, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 5954.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 5954.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 5954.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 5954.59, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALYS CHARAC ALLELES", "code_information": [{"code": "81172", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFFINITY1 SQUARE CM", "code_information": [{"code": "Q4159", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFLIBERCEPT INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0178", "type": "HCPCS"}], "standard_charges": [{"minimum": 1432.55, "maximum": 1432.55, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1432.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1432.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 1432.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 1432.55, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFLURIA VACC, 3 YRS & >, IM", "code_information": [{"code": "Q2035", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFO ANKLE GAUNTLET PRE OTS", "code_information": [{"code": "L1902", "type": "HCPCS"}, {"code": "PEMC - 48001 - 450000063", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 47.7, "maximum": 180.42, "gross_charge": 186.0, "discounted_cash": 83.7, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 148.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 143.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 158.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 51.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 148.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 158.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 148.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 70.3, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 53.28, "methodology": "fee schedule"}, 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"plan_name": "Essential Network", "standard_charge_dollar": 419.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 419.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 408.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 361.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 408.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 419.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 419.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 419.76, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 215.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 215.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 215.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 157.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 215.12, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 233.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 163.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 228.53, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 257.1, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 162.13, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 565.51, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 501.38, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 157.41, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 175.59, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 149.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 223.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 438.99, "methodology": "fee 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"United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 425.59, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 167.02, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFO RIG ANT TIB PREFAB TCF/=", "code_information": [{"code": "L1932", "type": "HCPCS"}, {"code": "PEMC - 106001 - 427000012", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 366.53, "maximum": 1386.13, "gross_charge": 1429.0, "discounted_cash": 643.05, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 1143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1100.33, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 1214.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 395.54, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 1143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 1214.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 1143.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 540.16, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 409.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 1000.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 1000.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 1000.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 885.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 1000.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 1028.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 527.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 527.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 527.3, "methodology": "fee schedule"}, {"payer_name": "Blue 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"plan_name": "Commercial", "standard_charge_dollar": 1228.94, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 385.83, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 430.41, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 366.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 548.02, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 1076.03, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1198.93, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 401.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 771.66, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 393.54, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 385.83, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 857.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 1386.13, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 1043.17, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 409.4, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFP CSF TUMOR MARKER", "code_information": [{"code": "86316", "type": "CPT"}, {"code": "PEMC - 106001 - 302000242", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 59.5, "maximum": 225.04, "gross_charge": 232.0, "discounted_cash": 104.4, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 185.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 178.64, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 197.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 64.21, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 185.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 197.2, "methodology": "fee 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"BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 162.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 143.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 162.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 167.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 167.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 162.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 143.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 162.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 167.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 167.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 167.04, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 62.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 92.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 65.16, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 90.94, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 102.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.51, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 225.04, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 199.52, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.64, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 69.87, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 59.5, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 88.97, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 174.69, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 194.64, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 65.16, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 125.28, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 63.89, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.64, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 139.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 225.04, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 169.36, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 66.46, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTER CATARACT LASER SURGERY", "code_information": [{"code": "66821", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 21999.12, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 21999.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 13086.7, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 21567.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13348.43, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 21567.76, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 21999.12, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITH CC/MCC", "code_information": [{"code": "949", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 14405.27, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 14405.27, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 6904.7, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 14122.81, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 7042.79, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 14122.81, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 14405.27, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE WITHOUT CC/MCC", "code_information": [{"code": "950", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 13846.79, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 13846.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 12387.1, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 13575.28, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 12634.84, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 13575.28, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 13846.79, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC", "code_information": [{"code": "560", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "estimated_discounted_cash": 5594.15, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 20924.18, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 18969.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 20513.9, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 18597.68, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 20924.18, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 18597.68, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 18969.64, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC", "code_information": [{"code": "559", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 12283.79, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 12283.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2252.05, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 8842.9, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 12042.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 9019.76, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 12042.92, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 12283.79, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC", "code_information": [{"code": "561", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AGALSIDASE BETA INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0180", "type": "HCPCS"}], "standard_charges": [{"minimum": 389.98, "maximum": 389.98, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 389.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 389.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 389.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 389.98, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AGGLUTININS FEBRILE ANTIGEN", "code_information": [{"code": "86000", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AGRIFLU VACCINE", "code_information": [{"code": "Q2034", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AHG COOMBS DIRECT", "code_information": [{"code": "86880", "type": "CPT"}, {"code": "PEMC - 106001 - 309000034", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 51.55, "maximum": 194.97, "gross_charge": 201.0, "discounted_cash": 90.45, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 160.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 154.77, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 170.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 55.63, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 160.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 170.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 160.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 75.97, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 57.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 140.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 140.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 140.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 124.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 140.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 144.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 74.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 74.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 74.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 54.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 74.16, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 80.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 56.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 78.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 88.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 55.89, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 194.97, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 172.86, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 54.27, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 60.54, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 51.55, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 77.08, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 151.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 168.63, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 56.46, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 108.54, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 55.35, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 54.27, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 120.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 194.97, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 146.73, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 57.58, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AHG COOMBS DIRECT NB", "code_information": [{"code": "86880", "type": "CPT"}, {"code": "PEMC - 48001 - 309000035", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 26.67, "maximum": 100.88, "gross_charge": 104.0, "discounted_cash": 46.8, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 83.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 80.08, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 88.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 28.78, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 83.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 88.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 83.2, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 39.31, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 29.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 72.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 72.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 72.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 64.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 72.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 74.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 38.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 38.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 38.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 28.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 38.37, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 41.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 29.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 40.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 45.86, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 28.92, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 100.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 89.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 28.08, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 31.32, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 26.67, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 39.88, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 78.31, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 87.25, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 29.21, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 56.16, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 28.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 28.08, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 62.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 100.88, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 75.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 29.79, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AHG COOMBS DIRECT TANGO NB", "code_information": [{"code": "86880", "type": "CPT"}, {"code": "PEMC - 106001 - 309000036", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 42.57, "maximum": 161.02, "gross_charge": 166.0, "discounted_cash": 74.7, "setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 132.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 127.82, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 141.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 45.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 132.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 141.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 132.8, "methodology": "fee schedule"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 62.74, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 47.55, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 116.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 116.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 116.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 102.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 116.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 119.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 61.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 61.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 61.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 44.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 61.25, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 66.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 46.62, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 65.07, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 73.2, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 46.16, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 161.02, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 142.76, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 44.82, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 49.99, "methodology": "fee schedule"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 42.57, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 63.66, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 124.99, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 139.27, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 46.62, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 89.64, "methodology": "fee schedule"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 45.71, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 44.82, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 99.6, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 161.02, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "standard_charge_dollar": 121.18, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 47.55, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AHI OR RDI INITIAL DX", "code_information": [{"code": "G8842", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AI DS SLE ALYS 8 IGG AUTOANT", "code_information": [{"code": "312U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AI IBD MRNA XPRSN PRFL 17", "code_information": [{"code": "203U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AI PSOR MRNA 50-100 GEN ALG", "code_information": [{"code": "258U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AI SLE IGG&IGM ALYS 80 BMRK", "code_information": [{"code": "62U", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 51190.13, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 47398.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 50186.4, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 46469.39, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 51190.13, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 46469.39, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 47398.8, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD GENERATOR PROCEDURES", "code_information": [{"code": "245", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}], "standard_charges": [{"minimum": 1708.76, "maximum": 40596.2, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3184.71, "methodology": "per diem"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "standard_charge_dollar": 4660.55, "methodology": "per diem"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 35171.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2452.65, "methodology": "per diem"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 39800.2, "methodology": "case rate"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 34481.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 40596.2, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 43.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3200.24, "methodology": "per diem"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "standard_charge_dollar": 1708.76, "methodology": "per diem"}, {"payer_name": "Humana Military", "plan_name": "VA", "standard_charge_dollar": 2951.68, "methodology": "per diem"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3262.38, "methodology": "per diem"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 84.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 34481.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6214.06, "methodology": "per diem"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "standard_charge_dollar": 3169.17, "methodology": "per diem"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3107.03, "methodology": "per diem"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 35171.23, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "100", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "101", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "110", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "111", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "112", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "113", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "117", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "119", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "120", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "121", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "122", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "123", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "127", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "129", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "130", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "131", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "132", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "133", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "137", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "139", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "140", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "141", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "142", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "143", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "147", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "149", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "150", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "151", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "152", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "153", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "157", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "159", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "160", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "161", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "164", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "167", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD LEAD PROCEDURES", "code_information": [{"code": "265", "type": "MS-DRG"}, {"code": "169", "type": "RC"}], "standard_charges": [{"minimum": 1850.0, "maximum": 1850.0, "setting": "inpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1850.0, "methodology": "per diem"}], "billing_class": "facility"}]}, {"description": "AICD, DUAL CHAMBER", "code_information": [{"code": "C1721", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AICD, OTHER THAN SING/DUAL", "code_information": [{"code": "C1882", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "Tricare Federal Services", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 30.12, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana Military", "plan_name": "VA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 25.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.35, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 75.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 83.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "New Hanover Health", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.54, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 73.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AICD, SINGLE CHAMBER", "code_information": [{"code": "C1722", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.68, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Ambetter", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 37.8, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.65, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Medicare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 36.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 28.09, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 39.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 44.1, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 27.81, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 86.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana"